Medical school: LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 1986
NPI: 1649374893
Practice Locations (3)
18907 NORDHOFF ST, SUITE 46
NORTHRIDGE, CA 913243796
8187727720
1325 BRIDGE MILL AVE
Canton, GA 301147762
1150 PRIMROSE DR
ROSWELL, GA 300764217
Source: CMS National Downloadable File, September 2026.